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Monash University and Alfred Hospital form united approach to India’s road toll

One person is killed on the roads every two to four minutes in
India, a terrible toll that experts believe could be reduced by
improving the trauma response system in the country’s hospitals.

A research program involving five Indian hospitals in three cities –
Mumbai, New Delhi and Ahmedabad—has taken on the challenge. The program
is led by the All India Institute of Medical Sciences in New Delhi, and
Australia’s National Trauma Research Institute (NTRI), a partnership
between Monash University and The Alfred Hospital.

Roads in India are notoriously dangerous

The four-year Australia-India Trauma Systems Collaboration (AITSC) is
funded through the Australia-India Strategic Research Fund Grand
Challenge Scheme supported by both countries’ governments. The
AUD$2.6-million award is the first major funding of its kind in the
world and brings together clinicians, academic partners, industry,
governments and the World Health Organization Global Alliance for Care
of the Injured.

Professor Russell Gruen, a trauma surgeon and key AITSC architect,
hopes the AITSC will find answers that will be broadly applicable to
lower- and middle-income countries globally—where 90 per cent of the
world’s injuries occur—as the developing world faces an epidemic of
preventable death through injury.

“We are looking at things that are relatively low cost and that can
be implemented without wholesale health-system change to improve patient
outcomes,” the Monash University professor said.

The collaboration will develop and test innovative pre-hospital,
hospital, and post-hospital interventions that could improve care of the
injured in countries at all levels of development. It builds on
evidence that improving systems of care has been effective in reducing
injury-related death and disability in high-income countries.

One of the first elements to be trialled is simply advising a
hospital in advance that accident victims are on their way. Currently
patients often show up without any warning, meaning already overcrowded
hospitals are ill-prepared to treat them.

Rather than trying to implement entire new ambulance services or
radio networks, existing mobile phone technology could be used to advise
hospitals of incoming patients. AITSC project members will work with
existing providers, including police, to develop this and other
cost-effective options to help hospitals be better prepared when a
patient arrives.

Professor Russell Gruen
Russell Gruen is a general and trauma surgeon at The Alfred, Professor of Surgery and Public Health at Monash University,
and Director of the National Trauma Research Institute (NTRI). Under
Professor Gruen’s leadership, the NTRI has developed research programs
to improve care of the injured through more effective treatments, higher
quality care, and better trauma systems.

Medicine at Monash University

The Monash University Medical School’s
graduate-entry degree emphasizes clinical communication skills and
early clinical contact visits to medical practices, community care
facilities and hospitals. With a focus on rural health, all student
teaching and clinical placements take place throughout Gippsland.
Students will predominantly spend the first year in the purpose-built
Gippsland facility and undertake clinical rotations at hospitals,
community health centres and general practices over the four years of
the course.

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